1994, 10-05 Permit App: 94009846 ACMECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: - /010/ r.L-y� ,- /� ./ �-/ /'/� �I� /Lid./ 9/��/
OWNER: <-C t /'l Q, -' `2 IP ONE: 7��"d
A 1 la /et ,
(street) (city/state) (zip)
MAILING ADDRESS: /2 ,/
CONTRACTOR:
LICENSE: 5��x2 -5x% -iF 4 701 //T
MAILING ADDRESS: Cl.)(9- 4 J Ov 7
(street)
PHONE: "541g/ -,5-41C,
t 4cQJ //J/ - 9942,6
(city/state (zip)
SIGNATURE: (�(,r�/ e( (/,,z_e_d
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675
mns; a Cmc ±pe rm. hnd
DESCRIPTION OF WORK
#
_ OF UNITS
MAXI-
nMsY
cos I.
/UNIT tiouma
AMOUNT
1302 FUEL BURNING APPLIANCE
= or <100.000512
-
1303 FUEL BURNING APPLIANCE
>100.000515
-
s
804 UNLISTED FUEL BURNING APPLIANCE
= or <400,000550
-
s
805 UNLISTED FUEL BURNING APPLIANCE
>400.0005100
-
s
806 USED APPLIANCE (Must meet WSEC's min. AFUE rating)
= or <400.000
550
-
s
807 USED APPLIANCE (Must meet WSEC's min. AFUE rating)
>400,0005100
-
s
808 BOILER/REFRIGERATION
1-100M BTU512
-
s
809 BOILER/REFRIGERATION
101-500M BTU
520
-
s
BIO BOILER/REFRIGERATION
sol -1,000M BTU525
-
s
B1i BOILER/REFRIGERATION
1,001-1,750M W11J535
-
s
812 BOILER/REFRIGERATION
+1,750M BTU560
-
s
1313- GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
-510
-
s
B14 RANGE
-510
-
s
B15 -DRYER
-510
-
s
816 FUEL BURNING WATER HEATER
-510
-
s
817 MISCELLANEOUS FUEL BURNING APPLIANCE
-$10
-
s
818 GAS PIPING (ea. outlet)
-51
-
s
819 DUCT SYSTEMS
-
510
-
s
B20 VENTIATINGFANS
-$10
-
s
1321 AIR HANDLER (DOES NOT include duct systems)
= or <10,000 CFM512
-
s
822 AIR HANDLER (DOES NOT include duct systems)
>10,000 CFM
515
-
s
823 EVAPORATIVE COOLERS
-510
-
s
824 TYPE I HOOD
-550
.
825 TYPE II HOOD
-$10
-
s
B26 HEAT PUMP/AIR CONDITIONER
0-5 TONS
/
L512
-
s
/01-
827 AIR CONDITIONER
6-15 TONS
520
-
$
B28 AIR CONDITIONER
16-30TON5525
-
s
B29 AIR CONDITIONER
31-50 TONS535
-
s
B30 AIR CONDITIONER
+50TONS560
-
s
831 LPG STORAGE TANK-
510
-
s
B32 WOOD OR PELLET STOVE/INSERT
-525
-
s
j�f-2fri-
NOTE: MINIMUl IERMIT FE(FjIS $35.00 44!J 5-,5'5"
// X
Subtotal
/,4°—
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
37'oe,
SIGNATURE: (�(,r�/ e( (/,,z_e_d
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675
mns; a Cmc ±pe rm. hnd